Structural Heart Disease

Structural heart diseases include any issues preventing normal cardiovascular function due to damage or alteration to the anatomical components of the heart. This is caused by aging, advanced atherosclerosis, calcification, tissue degeneration, congenital heart defects and heart failure. The most commonly treated areas are the heart valves, in particular the mitral and aortic valves. These can be replaced through open heart surgery or using cath lab-based transcatheter valves or repairs to eliminate regurgitation due to faulty valve leaflets. This includes transcatheter aortic valve replacement (TAVR). Other common procedures include left atrial appendage (LAA) occlusion and closing congenital holes in the heart, such as PFO and ASD. A growing area includes transcatheter mitral repair or replacement and transcatheter tricuspid valve repair and replacement.

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Illustration of a left atrial appendage occlusion (LAAO) procedure using a Watchman device. Image courtesy of Johns Hopkins Medicine. #LAA #LAAO

Older LAAO patients, especially women, face a higher risk of complications

Researchers explored data from the National Inpatient Sample, sharing their findings in the American Journal of Cardiology.

March 21, 2022
Same-day discharge after TAVR is safe for low-risk patients, leads to considerable cost savings

Same-day discharge after TAVR is feasible and safe, new Cleveland Clinic study confirms

Cleveland Clinic turned to same-day discharge after TAVR during the COVID-19 pandemic, finding considerable success. 

March 21, 2022
PCI can improve the odds of survival for some ischemic heart failure patients with moderate-to-severe functional mitral regurgitation, according to a new study. Image courtesy of Beaumont Hospital. Interventional cardiology procedure in a cath lab at Beaumont Hospital.

PCI boosts survival for ischemic HF patients with moderate-to-severe mitral regurgitation

Mortality rates can be especially high for ischemic HF patients presenting with FMR and LVSD, but PCI may offer some relief. 

March 17, 2022
Oleksandr Yachnik, congenital heart surgeon at the Scientific Practical Children's Cardiac Center in Kyiv, Ukraine, performs a congential heart procedure while the Russians and the front lines are less than 10 miles away. #StandwithUkraine #Ukraine #RussianWarWithUkraine

War in Ukraine has not stopped congenital heart surgeries in Kyiv

"We are staying strong," one surgeon told Cardiovascular Business. 

March 16, 2022
durbin-ama-opioid. The American College of Cardiology (ACC) and American Heart Association (AHA) have published new guidelines focused on the diagnosis, treatment and management of patients with chronic coronary disease (CCD).

DOACs an effective substitute for VKAs after AFib patients undergo bioprosthetic valve replacement

Direct oral anticoagulants are noninferior to vitamin K antagonists when treating this important patient population, researchers reported. 

March 9, 2022

Ross procedure outperforms bioprosthetic aortic valve replacement among younger patients

Researchers highlighted the low risk of reintervention after the Ross procedure, though they did say additional studies were still needed. 

March 8, 2022
Doctor patient

Life after heart surgery: Tracking the long-term performance of several bioprosthetic aortic valves

The study's authors examined data from multiple bioprosthetic aortic valves — and one popular solution consistently came out on top. 

March 7, 2022
Doctor patient with masks

Congenital heart disease increases risk of poor COVID-19 outcomes, including death

Researchers examined data from more than 235,000 hospitalized patients treated in the United States.

March 7, 2022
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